Smyrna Modern Dentistry, PC
NPI 1669840211ActiveOrganization· Dentist· Smyrna, TN
Dentist in Smyrna, Tennessee, registered in NPPES in September 2015. The authorized official on file is Tanisha A. Jackson, DDS, Owner.
Overview
| NPI | 1669840211 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 11, 2015 |
| Last updated in NPPES | Sep 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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